Mosaic Group Llc

LBN: Mosaic Group Llc
Mosaic Group Llc is an health care organization with primary practice located at 8300 Callie Ave Unit 405 , Morton Grove IL 60053-3722. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as the primary health care specialty. Mosaic Group Llc can be contacted via phone (312) 799-9351, or through Vyazovsky, Veronica via phone (312) 799-9351.

Contact Information

Primary practice address
8300 Callie Ave Unit 405 Morton Grove IL 60053-3722
Phone: (312) 799-9351
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vyazovsky, Veronica
Phone: (312) 799-9351

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1982198891
LBN Legal business name Mosaic Group Llc
DBA Doing business as
Authorized official Vyazovsky, Veronica
Entity Organization
Organization subpart 1 No
Enumeration date Jun 15th, 2018
Last updated Jan 24th, 2023 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982198891 NPPES
Illinois MEDICAID 348827170001

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